Clearpol's Opinion of this Guidance as of 12/02/2022
Supersedes AFL 21-08.8 and provides updated guidance on:
· exposure risk assessment and management of asymptomatic HCP with SARS-CoV-2 exposures
· work restrictions for HCP diagnosed with SARS-CoV-2 infection (isolation)
· incorporates the 9/23/22 updated CDC guidance for managing HCP with SARS-CoV-2 infection or exposure to SARS-CoV-2, and 9/23/22 updated CDC strategies to mitigate HCP staffing shortages.
· SNF’s receipt of annual increase in weighted average Medi-Cal reimbursement rate may be conditioned of SNF’s good faith compliance with AFL’s related to COVID-19
SNFs must use the CDC’s 9/23/22 updated risk assessment framework, to determine exposure risk for HCP with potential exposure to residents, visitors and other HCP with confirmed COVID-19. CDPH guidance for assessing community related exposures, should continue to be applied to HCP with potential exposures outside of work and among HCP exposed to each other while working in non-resident care areas.
SNFs must use the table below to guide work restrictions and testing for HCP with SARS-CoV2 infection and for asymptomatic HCP with exposures based upon HCP vaccination status and facility staffing level.
HCP returning to work between days 5-9 after meeting routine criteria should wear a fit-tested N95 for source control through at least day 10 from symptoms onset or positive test (for HCP who remain asymptomatic throughout their infection).
HCP whose most recent test is positive and are working before meeting routine return-to-work criteria must maintain separation from other HCP as much as possible and wear a N95 respirator for source control at all times while in the facility until at least 10 days from symptoms onset or positive test.
Similarly, all exposed HCP who are working during their post-exposure period should also wear a N95 respirator for source control at all times while in the facility until they have a negative test result on day 5. In addition, make N95 respirators available to any HCP who wishes to wear one when not otherwise required for the care of residents with suspected or confirmed COVID-19.
Clearpol Inc. does not make any guarantees regarding the accuracy of the opinions provided on our platform. Please use your own judgement.
Clearpol's Summary of this Guidance
The California Department of Health has issued a new All Facilities Letter (AFL) providing updated guidance for healthcare personnel (HCP) in hospitals and skilled nursing facilities (SNFs) regarding exposure risk assessment, management of asymptomatic HCP with SARS-CoV-2 exposures, and work restrictions for HCP diagnosed with SARS-CoV-2 infection. The letter incorporates updated CDC guidance and emphasizes that SNFs must comply with the recommendations to receive an annual increase in the weighted average Medi-Cal reimbursement rate. The guidance no longer recommends work restrictions for asymptomatic HCP with higher-risk exposure if they do not develop symptoms or test positive for SARS-CoV-2. Testing is recommended immediately after exposure (but not earlier than 24 hours) and, if negative, again at 3 days and 5 days after exposure. Healthcare facilities should continue contingency planning for staffing shortages and follow the guidance provided in the letter for work restrictions and testing for HCP with SARS-CoV-2 infection and exposures.
Clearpol Inc. does not make any guarantees regarding the accuracy of the opinions or summaries provided on our platform. Please use your own judgement.
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